STEPHANIE GREENBERG RANDELL Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056007515

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

GREENBERG

Last Name

RANDELL

Business Name

STEPHANIE GREENBERG RANDELL

Original Issue Date

07/18/2005

Effective Date

10/24/2013

Expiration Date

12/31/2015

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

02/08/2016